Emergency Medical Technician Hourly Pay in Pearl City, HI: $26.20 (2026)
Quick Answer:Hourly pay for a emergency medical technician working in Pearl City, HI runs $26.20 at the median for 2026 — annualizing to $54,489 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2042). Weighted against Pearl City's regional price level (BEA RPP 119.3, 19% above national), each hour of work buys what $21.96 nationally would. A 24-hour part-time schedule grosses $32,699 per year.
Based on BLS state-level estimates · View source

In 2026, emergency medical technicians (EMTs) in Pearl City, HI, are projected to earn a median hourly rate of $26.20, significantly surpassing the national median of $22.62. This competitive rate allows part-time EMTs, working three days a week, to take home a decent income while gaining valuable field experience in a variety of environments including ambulance compartments, fire engine medical bays, and event medical tents. The hourly wage for these professionals in Pearl City ranges from $19.66 for entry-level positions to $36.42 for the most experienced workers. Given the demanding nature of their roles, which may involve long shifts or irregular hours, many EMTs find flexibility appealing whether they choose to work part-time or engage in per-diem positions. The hourly pay structure provides essential insight into the profession's financial landscape, reflecting the high demand for skilled EMTs in the area.
About the Pearl City Market
Salary estimated from Hawaii average ($48,000) adjusted for local cost of living.
Emergency Medical Technician Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $19.66 | $157.29 |
| Lower Range (P25) | $22.81 | $182.52 |
| Median (P50) | $26.20 | $209.61 |
| Upper Range (P75) | $29.61 | $236.87 |
| Top Earners (P90) | $36.42 | $291.39 |
Estimated Annual Income by Work Schedule in Pearl City
Based on $26.20/hr median hourly rate · 2026 est.
At $26.20/hr, a emergency medical technician working full-time (40 hr/wk) in Pearl City, HI can expect to earn approximately $54,498 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $31,441. With a cost-of-living index of 119.30 (above the national average), these earnings may be offset by higher expenses in Pearl City.
Hourly Rate Calculator
Schedule Comparison in Pearl City
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $1,048.04 | $4,542 | $54,498 |
| Part-Time (24 hrs) | $628.82 | $2,725 | $32,699 |
| Per Diem (16 hrs) | $419.22 | $1,817 | $21,799 |
Compare EMT Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Emergency Medical Technician (Pearl City) | $26.20 |
| Paramedic (National Avg) | $27.18 |
| Nursing Assistant (National Avg) | $18.62 |
| Firefighter (National Avg) | $26.89 |
| Medical Assistant (National Avg) | $20.25 |
Emergency Medical Technicians in Pearl City, HI earn a median of $54,489 per year (2026 est.), which is 15.79% higher than the national median of $47,058 and 2.90% below the Hawaii state average of $56,116.
Emergency Medical Technician Hourly Pay vs. Cost of Living
Working 24h/week at $26.20/hr = $32,699/year (purchasing power: $27,409).
Working 40h/week (full-time) = $54,498/year (purchasing power: $45,682).
CoL index: 119.3 (100 = national average).
2021 BLS Actual
$19.75/hr
2025 BLS Actual
$24.76/hr
2026 Current Est.
$26.20/hr
2021–2027 Growth
+40.4%
Hourly Rate Trajectory for Emergency Medical Technicians in Pearl City (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.82% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $19.75/hr | Actual |
| 2022 | $20.42/hr | Actual |
| 2023 | $21.68/hr | Actual |
| 2024 | $26.72/hr | Actual |
| 2025 | $24.76/hr | Actual |
| 2026(current) | $26.20/hr | Estimated |
| 2027 | $27.73/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for emergency medical technicians in Pearl City grew 25.4% from $19.75/hr (2021) to $24.76/hr (2025). At a 5.82% projected growth rate, hourly pay is expected to reach $27.73/hr by 2027. Part-time and per-diem emergency medical technicians can use this multi-year trend to benchmark future contract negotiations.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Pearl City metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 5.82% CAGR derived from 5-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Working as an Hourly Emergency Medical Technician in Pearl City
When evaluating part-time opportunities, an EMT who works a 24-hour week can expect to earn around $32,544 annually, underlining the potential for a robust supplementary income or part-time career. Per diem and agency EMTs can offer their services for rates between $20 and $32 per hour in private sectors, while specialized medics in oil-field environments can earn significantly higher rates, ranging from $40 to $70 per hour depending on location and conditions. Costs vary widely based on employer type in Pearl City, with municipal fire department EMTs often benefiting from union contracts that provide higher pay relative to private ambulance services like AMR and GMR. Some choose to prioritize health benefits provided by stable positions over higher pay rates in less secure jobs. When negotiating hourly rates, candidates should highlight their relevant certifications, such as NREMT or NHTSA training, to strengthen their value proposition to employers while remaining aware of the financial trade-offs associated with different job types in the local market.
More salary data for Pearl City, HI:
Frequently Asked Questions
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Written by Aisha Patel, EMT-P
Career Analyst
Aisha has 10 years of experience as an emergency medical technician. She specializes in pre-hospital care and triage. Aisha works primarily in urban emergency services.
Methodology & Data Source
Hourly wage figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. A 5.82% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to estimate current 2026 hourly rates for emergency medical technicians in Pearl City. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Salary data for Pearl City is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 5.82%, derived from historical BLS wage trends for emergency medical technicians (SOC 29-2042).
Compiled and verified by Aisha Patel, EMT-P, a licensed emergency medical technician with 10+ years of clinical experience. · View source data at BLS.gov